FREDERIC BERRVEX ANDRE - Physical Therapist License in Illinois | # 070000771

FREDERIC BERRVEX ANDRE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000771

License Status

NOT RENEWED

Business

N

First Name

FREDERIC BERRVEX

Last Name

ANDRE

Business Name

FREDERIC BERRVEX ANDRE

Original Issue Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005